Individual
DR. PAUL RYAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2006019877
MO
207X00000X
Orthopaedic Surgery Physician
Primary
53039
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437211232
—
MN
Enumeration date
12/15/2006
Last updated
10/23/2012
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